Do you need to get UB04 form completed for an insurance company? What is UB04 form? Where do you find one? And how do you fill it out? We run over these questions often in the world of medical billing. Most medical insurance claims are filed on CMS 1500 forms (sometimes called HCFA forms). These are common to most people. Many billers do not know when to use CMS forms and when to use UB 04 form.

The UB04 claim form used by facilities rather than a cure for health insurance their collection. Hospitals, rehabilitation centers, ambulatory surgery centers, clinics, etc. needs to bill their services UB04 forms to get paid. Medical billing is done on the CMS 1500 claim forms.

Every once in awhile we get a call from a person who is trying to get insurance claims paid and they are told by the insurance that they have to submit a claim to UB04 claim form. These people have no idea what this form is or how to complete it. They may have had to recognize a loved one in a drug and alcohol rehab facility and now find that that is not involved with the insurance plan. These facilities often do not file UB04 form and can not help the family get reimbursed by the insurance company.

Many times the family has paid up front for services facility and are now trying to get insurance companies to reimburse them. The insurance may be paid out of the Internet while claiming to be placed right UB04 form . Often times people are trying to collect thousands of dollars in claims. Required fields on the form are UBO4 sr code, valid code and drafting the bill. What do you put in these fields? These forms can be very confusing. Where do you get the right information to complete the form? And the boxes on the form? If the station does not have a UB04 form to fill out, where do you get one?

Unfortunately, the answers are not easy. The Rev codes represent procedure code. The type of bill is a three-digit number that represents the type of facility, the bill classification and frequency of the bill. Value numbers are required fields only in certain cases. It is very difficult to complete these forms correctly without previous experience or appropriate training. Another catch is that the forms were amended in May 2007 to allow for the use of NPI number. You must understand NPI numbers just to determine where you should be to strike individual NPI number or group NPI number. And when you try to find UB04 form for sale, you will find that they are available in packs of 2500.

If you find yourself having to file a claim to UB04 form and do not know what you’re doing , be sure to look into it fully. Claims are often denied time after time for the information to be incomplete or incorrect. If the claim is for a lot of money, you do not want to wait months for payment

Copyright November 2008 -. Alice Scott